Provider Demographics
NPI:1619533270
Name:HYBART, LINDSAY HOPE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:HOPE
Last Name:HYBART
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:HOPE
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:335 UPPER RIVERDALE RD STE B10
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1071
Mailing Address - Country:US
Mailing Address - Phone:770-907-5743
Mailing Address - Fax:
Practice Address - Street 1:335 UPPER RIVERDALE RD STE B10
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1071
Practice Address - Country:US
Practice Address - Phone:770-907-5743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-19
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT007301225X00000X
GA007301225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist